Hi Everyone! Thanks to Gladys for presenting the case of a middle-aged man with cirrhosis presenting with abdominal pain and found to have a portal vein thrombosis and possible acalculous cholecystitis!

***************************************

Top Pearls:

Portal vein thrombosis is common in decompensated cirrhosis and is divided into acute vs. chronic.

Acaculous cholecystitis is a high mortality condition occurring in ICU patients that should be treated with broad spectrum antibiotics and prompt cholecystostomy/cholecystectomy.

***************************************

For those who want more info:

See these previous pearls from all three sites on portal vein thrombosis in cirrhotic and non-cirrhotic patients: